Provider Demographics
NPI:1083337505
Name:HEARING CONSULTANTS OF GEORGIA
Entity Type:Organization
Organization Name:HEARING CONSULTANTS OF GEORGIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LILIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CONNER
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:404-457-7513
Mailing Address - Street 1:5987 ALLEE WAY
Mailing Address - Street 2:
Mailing Address - City:BRASELTON
Mailing Address - State:GA
Mailing Address - Zip Code:30517-6043
Mailing Address - Country:US
Mailing Address - Phone:678-710-3004
Mailing Address - Fax:
Practice Address - Street 1:1255 FRIENDSHIP RD STE 110
Practice Address - Street 2:
Practice Address - City:BRASELTON
Practice Address - State:GA
Practice Address - Zip Code:30517-5612
Practice Address - Country:US
Practice Address - Phone:678-710-3004
Practice Address - Fax:678-710-3054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech